HomeMy WebLinkAboutOPI APP 1.22.19UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT # _..
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661- 852 -2171
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❑ SB -989 SECONDARY CONTAINMENT
12 OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Jim Burke Ford /Lincoln
NAME & PHONE # OF CONTACT PERSON
John Hay (661) 328 -3788
ADDRESS
2001 Oak Street
OWNER NAME
Jim Burke Ford /Lincoln
OPERATOR NAME
John Hay
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
87 UNL
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services, Inc.
NAME & PHONE # OF CONTACT PERSON
Jessica Baker (661) 631 -3870
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Austin Sterling (661) 703 -0857
CERTIFICATION #
TEST METHOD
ICC #
8339953 -UT
APPLICANT IGNATURE
DATE
10/10/2018
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)